ZQP-25054-35577
5 vaccinations
7 coded responses
50 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 024 / MA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-06
Registered in v-safe
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: GoodFree text: I had a headache yesterday, the first day after I got the vaccine, but it was gone this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-18
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-23
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Chills — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Chills were mostly around midnight last night. My symptoms between 11pm and 1 am were severeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-04-08
Dose 4 — Moderna
- 2022-04-18
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Rash, Rash erythematous, Rash papular — Feeling: GoodFree text: Red raised bumps on knees and collarbone four times, possible eczema or bug bites.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 5 — Moderna
-
2022-09-29
Survey response — day 0, dose 5MedDRA: Muscle tightness, Neck pain, Pain — Feeling: GoodFree text: Brief shooting pains in neck near jaw. Tightness in neck.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Decreased appetite, Ear pain, Feeling cold, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: I have been getting sharp fleeting pains under my left ear that I think are neuralgia, worse yesterday but continuing today. I was cold in bed last night because not as much as with last shot. Poor appetite.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — days 1–6 daily, dose 5MedDRA: Ear pain, Nausea, Pain — Feeling: Good · Fatigue or tirednessFree text: I continue to get these neuralgia (?) shooting sharp pains on left side under ear. Not sure if I should put under headache. Slight nausea also.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 21, dose 5MedDRA: Unevaluable event, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eye floaters · Healthcare visit (other): Asked to schedule medical visit with eye dilationMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-21
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-12-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-20 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had a headache yesterday, the first day after I got the vaccine, but it was gone this morning.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Chills were mostly around midnight last night. My symptoms between 11pm and 1 am were severe
Release 12 — 3 months, dose 4
Symptoms: Red raised bumps on knees and collarbone four times, possible eczema or bug bites.
Release 12 — day 0, dose 5
Systemic reaction (other): Brief shooting pains in neck near jaw. Tightness in neck.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have been getting sharp fleeting pains under my left ear that I think are neuralgia, worse yesterday but continuing today. I was cold in bed last night because not as much as with last shot. Poor appetite.
Systemic reaction (other): I continue to get these neuralgia (?) shooting sharp pains on left side under ear. Not sure if I should put under headache. Slight nausea also.
Release 12 — day 21, dose 5
Symptoms: Eye floaters
Healthcare visit (other): Asked to schedule medical visit with eye dilation
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash papular | · | · | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release